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SAGES 2009 Abstracts Archive

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Abstract TitleAbstract TypeAbstract Topic

Comparison of Intracorporeal Versus Extracorporeal Anastomosis in Laparoscopic Hemicolectomy

INTRODUCTION: The aim of this study was to determine short-term outcomes of an intra- vs extra-corporeal anastomosis in laparoscopic hemicolectomy.METHODS: Retrospective chart review of 105 consecutive patients who underwent laparoscopic hemicolectomy performed by a single surgeon from January 2006-August 2008. Pearson Chi-square and student’s t-test were used to test for significance.RESULTS: There were 105 patients… Continue Reading

Type:
Posters of Distinction
Topic:
Colorectal

A Comparison of Total Laparoscopic Hemi-colectomy Vs Assisted Laparoscopic and Laparotomy

A COMPARISON OF TOTAL LAPAROSCOPIC HEMI-COLECTOMY VS ASSISTED LAPAROSCOPIC AND LAPAROTOMYLozano-Dubernard G, Calva JJ, Ruiz-Healy F, Gil-Ortiz R, Rodriguez-Gonzalez M, Figueroa-Barkow S. Hospital Angeles del Pedregal, Mexico City, MexicoObjective. Our study aims to compare clinical outcomes from left total laparoscopic hemi-colectomy with trans-anal extraction and intra-abdominal anastomosis (TL), versus left hemi-colectomy by laparotomy (LPT) and… Continue Reading

Type:
Posters of Distinction
Topic:
Colorectal

A Novel Basic Lapsim® Curriculum Improves Fundamentals of Laparoscopic Surgery Skills Performance in Surgical Interns

Introduction: Laparoscopy is the standard of care for many basic general surgical procedures. Simulators have been developed to train surgical residents in laparoscopy; but there is no standard curriculum that has clearly shown a translational benefit in the operating room. Small studies have shown that Fundamentals of Laparoscopic Surgery (FLS) skills performance score predicts intraoperative… Continue Reading

Type:
Posters of Distinction
Topic:
Education / Simulation

Outcomes of Fundamentals of Laparoscopic Surgery (fls) Skills Training for Senior Medical Students Entering Surgical Residency

Introduction: Laparoscopic skills training is usually reserved for surgical residents who have some experience in performing open surgical procedures. This study examined the outcomes of training 4th year medical students matched in a surgical specialty (who had no prior open case experience as primary surgeon) in the skills tasks of the SAGES FLS program. Methods:… Continue Reading

Type:
Posters of Distinction
Topic:
Education / Simulation

Effectiveness of a New Trocar System to Enable NOTES

Introduction: Natural orifice translumenal endoscopic surgery (NOTES) is a developing area of minimally invasive surgery. Fundamental challenges of NOTES include development of safe ways to perform translumenal access and maintaining visualization and spatial orientation using a stable operating platform. This study examines the functionality of a new rotary access needle (RAN) device and technique for… Continue Reading

Type:
Posters of Distinction
Topic:
Endolumenal / NOTES

Physiologic Impact of Prolonged Intra-luminal Insufflation

PHYSIOLOGIC IMPACT OF PROLONGED INTRA-LUMINAL INSUFFLATION.Cedric S.F. Lorenzo MD, Thai H. Pham MD, Kyle A. Perry MD, Blair A. Jobe MD, John G. Hunter MD, Charles R. Phillips MD, Robert O’Rourke MD. Department of Surgery; Oregon Health and Science University, Portland, OR.Introduction: Prolonged intra-luminal and intra-peritoneal insufflation with gas is a critical component of endoluminal… Continue Reading

Type:
Posters of Distinction
Topic:
Endolumenal / NOTES

Patient Satisfaction Best Determines the Management of Recurrent Dysphagia After Heller Myotomy for Achalasia

Heller myotomy (HM) is an effective treatment for achalasia, however failure to reliably achieve long-term palliation of dysphagia occurs in about 10%. It is unclear when and how best to manage these patients. We sought to characterize patients with recurrent dysphagia with particular focus on the management of this difficult patient population. METHODS: A prospectively… Continue Reading

Type:
Posters of Distinction
Topic:
Esophageal / Gastric Surgery

Laparoscopic Surgery for Epiphrenic Diverticula: The Ideal Approach

Laparoscopy provides excellent exposure of the distal esophagus, thus is an ideal approach for most epiphrenic diverticula. This study reviews our outcomes to support this statement, which is the largest laparoscopic series to date.Methods: From 1997 to 2008, we operated on 23 patients for epiphrenic diverticula. Of these, 18 had laparoscopic diverticulectomy, myotomy, and fundoplication… Continue Reading

Type:
Posters of Distinction
Topic:
Esophageal / Gastric Surgery

Preoperative Endoscopy in the Evaluation of Patients Before Bariatric Surgery

BACKGROUND: This study evaluates the diagnostic yield of esophago-gastroduodenoscopy (EGD) before bariatric surgery and its influence on the planned surgery. METHODS: Endoscopy reports of all patients having undergone an EGD at our endosurgical unit were reviewed. We identified a non-consecutive series of morbidly obese patients that had an endoscopic evaluation before their primary bariatric procedure… Continue Reading

Type:
Posters of Distinction
Topic:
Flexible / Therapeutic Endoscopy and NOTES

A Prospective Randomized Trial Comparing Single Stage Versus Two Stage Management of Patients with Gall Stones and Cbd Stones

The optimal management of patients with concomitant gall stones and CBD calculi is controversial. The options for management include either a single stage approach of laparoscopic cholecystectomy along with laparoscopic common bile duct exploration or a two stage approach which includes preoperative endoscopic stone extraction followed by laparoscopic cholecystectomy. This prospective randomized trial was done… Continue Reading

Type:
Posters of Distinction
Topic:
HPB

Using Vibration to Provide Force Information in Surgery

USING VIBRATION TO PROVIDE FORCE INFORMATION DURING SURGERYBell, A., *Schwaitzberg, S.D., Cao, C.G.L., Tufts University, Cambridge Health Alliance Laparoscopic surgeons receive distorted force feedback during tissue manipulation. Research shows that sensory augmentation using vibrotactile stimulation with amplitude modulation enhances performance in tissue differentiation tasks. It was hypothesized that the capacity of information transmission through vibration… Continue Reading

Type:
Posters of Distinction
Topic:
Instrumentation / Devices / Technologies

‘lesssons ‘ Learned: Single Centre Experience of Single Port Cholecystectomy

Introduction: Single Port Surgery has been described and published by various authors. A recent consensus meeting and white paper from the Cleveland Clinic gave the acronym LESSS (Laparo- Endoscopic Single Site Surgery) for all such procedures. We present the largest series of single port cholecystectomies to date using the R Port (Tri port). The paper… Continue Reading

Type:
Posters of Distinction
Topic:
Minimally Invasive Other

Blunt Thyroid Working Space Creation: A Tool to Facilitate Transaxillary Endoscopic Thyroidectomy

BACKGROUND: Endoscopic thyroidectomy has been proved to be a safe and effective alternative treatment of a benign small thyroid lesion. To perform this operation, the working space needs to be created. Initially, the space surrounding the incisions is directly made and endoscopic part is followed. The appropriate working space is then endoscopically harvested with the… Continue Reading

Type:
Posters of Distinction
Topic:
Minimally Invasive Other

Needlescopic Resection of Small Pulmonary Nodule After Preoperative Dual Localization with Hook Wire and Lipiodol

IntroductionThe needlescopic surgery using instruments with a diameter of 2-mm is devised to leave minimal scarring and reduce the need for postoperative analgesia. For needlescopic lung biopsy for small pulmonary nodule (< 20mm), accurate and convenient method for preoperative localization is necessary. The aim of this study is to evaluate the usefulness of combined mammographic… Continue Reading

Type:
Posters of Distinction
Topic:
Minimally Invasive Other

A Validated Subjective Rating of Display Quality: The Maryland Visual Comfort Scale

A VALIDATED SUBJECTIVE RATING OF DISPLAY QUALITY: THE MARYLAND VISUAL COMFORT SCALE Jacob Seagull PhD, Tommy Lee MD, Erica Sutton MD, Carlos Godinez MD, Gyusung Lee PhD, Adrian Park MD.Department of Surgery, University of Maryland School of Medicine Introduction: Minimally invasive surgery requires high-quality imaging to provide effective visual displays to surgeons. In many regards,… Continue Reading

Type:
Posters of Distinction
Topic:
Minimally Invasive Other
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